National Provider Identifier
Christopher L Peck, P.A.
Christopher L Peck, P.A. is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Ithaca, NY and a listed phone number of (607) 273-3161.
Profile Overview
- NPI
- 1164424362
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 01, 2005
- Last Updated
- July 08, 2007
Practice Location
- 1301 Trumansburg RD
- Ste E
- Ithaca, NY 14850-1397
Phone: (607) 273-3161
Mailing Address
- 4364 Lower Covert RD
- Trumansburg, NY 14886-9305
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1164424362
- Entity Type
- Individual
- Last Name
- Peck
- First Name
- Christopher
- Middle Name
- L
- Name Prefix
- Mr.
- Credential
- P.A.
- Mailing Street Address
- 4364 Lower Covert RD
- Mailing City
- Trumansburg
- Mailing State
- NY
- Mailing ZIP Code
- 14886-9305
- Mailing Country
- US
- Mailing Phone
- (607) 273-3161
- Mailing Fax
- (607) 273-4979
- Practice Street Address
- 1301 Trumansburg RD
- Practice Address Line 2
- Ste E
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1397
- Practice Country
- US
- Practice Phone
- (607) 273-3161
- Practice Fax
- (607) 273-4979
- Enumeration Date
- June 01, 2005
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 2504263 (NY)